We present a technique to manage iridoschisis. This technique for anterior iridectomy of the affected iris fibers avoids intraoperative obstruction of the phaco tip and prevents postoperative complications such as corneal decompensation and glaucoma. Before the capsulorhexis is created, a vitreocutter is inserted in the anterior chamber and used to cut the iris strands at the site of the iridoschisis, making an anterior sectorial stromal iridectomy and preserving the iris pigment epithelium. Phacoemulsification is then performed. After the pupil is constricted with carbacol, remnants of the loose anterior iris fibers are excised with the vitreocutter and the scleral incision is sutured.
Corneal wavefront-guided PRK with MMC for hyperopia after RK significantly improved UDVA, CDVA, and higher-order corneal aberrations with a low incidence of visually significant corneal haze.
Considering that it is a retreatment procedure performed in unstable and irregular corneas with high degrees of hyperopia, topographically guided photorefractive keratectomy showed good results and was safe and effective for the management of secondary hyperopia following radial keratectomy.
We report a case of sudden decrease to unilateral visual acuity in a 39-year-old patient who had extracapsular cataract surgery 5 years earlier. The decrease was caused by involvement of the visual axis because of a rare complication known as liquefied after-cataract. Treatment with a neodymium:YAG (Nd:YAG) laser was successfully performed. Although there was no rupture in the posterior capsule, the opacity disappeared and the visual acuity improved to 20/20. This new form of after-cataract can cause a sudden decrease in vision, and Nd:YAG laser treatment, even without a posterior capsule rupture, can be performed successfully.
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